Abstract：
BACKGROUND: Traumatic carotid-cavernous sinus fistula (TCCF) is a pathological shunt between the carotid arteries and cavernous sinus due to trauma. Imaging-guided (e.g., ultrasonic image and fluoroscopic roadmap image) direct puncture of the superior ophthalmic vein (SOV) for embolization of TCCF has been previously described in other studies.
METHODS: We report a case of TCCF in a 58-years-old male patient who was admitted to our hospital with a sustained head injury after falling from a high platform, resulting in rapidly progressive swelling, pain, diminishing vision for more than 6 months, and blindness in his left eye for 1 month.
RESULTS: The patient underwent digital subtraction angiography and endovascular embolization. After the failure of super-selection of the left cavernous sinus, an alternative approach to obliterating the TCCF by puncturing the SOV is directly guided by Dyna-CT. After embolization, the patient\'s clinical symptoms gradually disappeared and discharged from the hospital 5 days later. No recurrence or complications occurred during follow-up for 1 year.
CONCLUSIONS: This case illustrates that direct puncture of the SOV guided by Dyna-CT as an alternative approach to embolization of TCCF is safe, effective, and feasible.
METHODS: We report a case of TCCF in a 58-years-old male patient who was admitted to our hospital with a sustained head injury after falling from a high platform, resulting in rapidly progressive swelling, pain, diminishing vision for more than 6 months, and blindness in his left eye for 1 month.
RESULTS: The patient underwent digital subtraction angiography and endovascular embolization. After the failure of super-selection of the left cavernous sinus, an alternative approach to obliterating the TCCF by puncturing the SOV is directly guided by Dyna-CT. After embolization, the patient\'s clinical symptoms gradually disappeared and discharged from the hospital 5 days later. No recurrence or complications occurred during follow-up for 1 year.
CONCLUSIONS: This case illustrates that direct puncture of the SOV guided by Dyna-CT as an alternative approach to embolization of TCCF is safe, effective, and feasible.
摘要：
背景：外伤性颈动脉-海绵窦瘘（TCCF）是由于外伤引起的颈动脉和海绵窦之间的病理性分流。成像引导(例如，超声图像和透视路线图图像）直接穿刺眼上静脉（SOV）以栓塞TCCF先前已在其他研究中进行了描述。
方法：我们报告一例TCCF病例，其中一名58岁的男性患者因从高平台跌落后头部持续受伤入院，导致快速进行性肿胀，疼痛,视力下降超过6个月，左眼失明一个月.
结果：患者接受了数字减影血管造影和血管内栓塞治疗。左海绵窦超选失败后,通过刺穿SOV来消除TCCF的另一种方法是由Dyna-CT直接指导。栓塞后，患者的临床症状逐渐消失，5天后出院。随访1年无复发及并发症发生。
结论：该病例说明在Dyna-CT引导下直接穿刺SOV作为TCCF栓塞的替代方法是安全的，有效,并且可行。
方法：我们报告一例TCCF病例，其中一名58岁的男性患者因从高平台跌落后头部持续受伤入院，导致快速进行性肿胀，疼痛,视力下降超过6个月，左眼失明一个月.
结果：患者接受了数字减影血管造影和血管内栓塞治疗。左海绵窦超选失败后,通过刺穿SOV来消除TCCF的另一种方法是由Dyna-CT直接指导。栓塞后，患者的临床症状逐渐消失，5天后出院。随访1年无复发及并发症发生。
结论：该病例说明在Dyna-CT引导下直接穿刺SOV作为TCCF栓塞的替代方法是安全的，有效,并且可行。
